Microneedling is a versatile, nonsurgical treatment that can address a wide range of skin conditions. While microneedling isn’t permanent, it can have very long-lasting results when you adhere to a proper treatment regimen. More »
The HydraFacial is one of the most popular skin care treatments available. At Midsota, we recommend the HydraFacial to many of our Med Spa patients due to its ability to achieve clear, beautiful, rejuvenated skin. This minimally invasive procedure combines hydration, cleansing, exfoliation, extraction and antioxidant protection to invigorate your skin, delivering a healthy, youthful glow. More »
Microdermabrasion is one of the most popular skin rejuvenation treatments available. More than 700,000 microdermabrasion procedures were performed in 2018, making it one of the five most commonly sought out nonsurgical treatments last year. This minimally invasive procedure exfoliates and suctions away dead surface layers of skin, stimulating collagen production and revitalizing your skin tone. More »
Customized treatments in St. Cloud
A HydraFacial cleanses, exfoliates, moisturizes and protects your skin all in one session.
Hydrafacial at First Glance
Treatment Time: 30-60 minutes, dependent on your individual goals
Recovery Time: None
Is a HydraFacial for me?
A HydraFacial is great for all ages, issues, concerns and skin types. It’s even gentle enough for those with very sensitive skin. Our team will customize the treatment to meet your unique goals.
What are the benefits of HydraFacial?
We can customize your HydraFacial to address fine lines, wrinkles, age spots, oily skin, blemishes, acne and much more.
How is a HydraFacial performed?
This medical grade, non-invasive, pain-free treatment removes impurities from your skin, while nourishing it with antioxidants. This infused hydration will help your skin stay healthy inside and out.
How long will my HydraFacial results last?
You’ll see restored skin health right away. Often people will say their skin glows, feels smoother and has improved firmness and texture. We recommend at least monthly treatments to maintain results.
Spider veins on the leg usually appear in one of three patterns: (a) simple linear (b) arborizing, which appear branch-like, and (c) spider, which appear as a cartwheel shape with a dark center point.(*)
Before treatment, spider veins are quite noticeable, contrasting sharply with the surrounding skin.(*)
The skin is held taut while the injection of sclerosing solution is administered under bright light and magnification.(*)
A cotton ball and compression tape are applied to each treated area. Elastic bandages or stockings may be used to help further the action of the injected medication.(*)
One month after the first treatment, spider veins are distinctly lighter, yet still somewhat visible.(*)
After two or more treatments, the leg appears noticeably clearer and more attractive.(*)
Diminishing Unsightly ‘Spider Veins’
Millions of women are bothered by spider veins – those small yet unsightly clusters of red, blue or purple veins that most commonly appear on the thighs, calves and ankles. In fact, it’s estimated that at least half of the adult female population is plagued with this common cosmetic problem.
Today, many plastic surgeons are treating spider veins with sclerotherapy. In this rather simple procedure, veins are injected with a sclerosing solution, which causes them to collapse and fade from view. The procedure may also remedy the bothersome symptoms associated with spider veins, including aching, burning, swelling and night cramps.
Although this procedure has been used in Europe for more than 50 years, it has only become popular in the United States during the past decade. The introduction of sclerosing agents that are mild enough to be used in small veins has made sclerotherapy predictable and relatively painless.
If you’re considering sclerotherapy to improve the appearance of your legs, this brochure will give you a basic understanding of the procedure – when it can help, how it’s performed and what results you can expect. It won’t answer all of your questions, since a lot depends on your individual circumstances. Please ask your doctor if there is anything about the procedure you don’t understand.
What Are Spider Veins?
Spider veins – known in the medical world as telangiectasias or sunburst varicosities – are small, thin veins that lie close to the surface of the skin. Although these super-fine veins are connected with the larger venous system, they are not an essential part of it.
A number of factors contribute to the development of spider veins, including heredity, pregnancy and other events that cause hormonal shifts, weight gain, occupations or activities that require prolonged sitting or standing, and the use of certain medications.
Spider veins usually take on one of three basic patterns. They may appear in a true spider shape with a group of veins radiating outward from a dark central point; they may be arborizing and will resemble tiny branch-like shapes; or they may be simple linear and appear as thin separate lines. Linear spider veins are commonly seen on the inner knee, whereas the arborizing pattern often appears on the outer thigh in a sunburst or cartwheel distribution.
Varicose veins differ from spider veins in a number of ways. Varicose veins are larger – usually more than a quarter-inch in diameter, darker in color and tend to bulge. Varicose veins are also more likely to cause pain and be related to more serious vein disorders. For some patients, sclerotherapy can be used to treat varicose veins. However, often surgical treatment is necessary for this condition.
The Best Candidates For Sclerotherapy
Women of any age may be good candidates for sclerotherapy, but most fall in the 30-to-60 category. In some women, spider veins may become noticeable very early on – in the teen years. For others, the veins may not become obvious until they reach their 40s.
If you are pregnant or breastfeeding, you may be advised to postpone sclerotherapy treatment. In most cases, spider veins that surface during pregnancy will disappear on their own within three months after the baby is born. Also, because it’s not known how sclerosing solutions may affect breast milk, nursing mothers are usually advised to wait until after they have stopped breastfeeding.
Spider veins in men aren’t nearly as common as they are in women. Men who do have spider veins often don’t consider them to be a cosmetic problem because the veins are usually concealed by hair growth on the leg. However, sclerotherapy is just as effective for men who seek treatment.
What to Expect From Sclerotherapy
Sclerotherapy can enhance your appearance and your self confidence, but it’s unrealistic to believe that every affected vein will disappear completely as a result of treatment. After each sclerotherapy session, the veins will appear lighter. Two or more sessions are usually required to achieve optimal results.
You should also be aware that the procedure treats only those veins that are currently visable; it does nothing to permanently alter the venous system or prevent new veins from surfacing in the future.
Before you decide to have sclerotherapy, think carefully about your expectations and discuss them with your doctor.
Risks Related to Treatment
Serious medical complications from sclerotherapy are extremely rare when the procedure is performed by a qualified practitioner. However, they may occur. Risks include the formation of blood clots in the veins, severe inflammation, adverse allergic reactions to the sclerosing solution and skin injury that could leave a small but permanent scar.
A common cosmetic complication is pigmentation irregularity – brownish splotches on the affected skin that may take months to fade, sometimes up to a year. Another problem that can occur is “telangiectatic matting,” in which fine reddish blood vessels appear around the treated area, requiring further injections.
You can reduce the risks associated with treatment by choosing a doctor who has adequate training in sclerotherapy and is well versed in the different types of sclerosing agents available. A qualified doctor can help you select which type of sclerosing medication is most appropriate for your needs.
Planning Your Treatment
During your initial consultation, your legs will be examined. Your doctor may draw a simple sketch of your legs, mapping out the areas affected by spider veins or other problems. During the examination, you will be checked for signs of more serious “deep vein” problems, often indicated by swelling, sores, or skin changes at the ankle. A hand-held Doppler ultrasound device is sometimes used to detect any backflow within the venous system.
If such problems are identified, your surgeon may refer you to a different specialist for further evaluation. Problems with the larger veins must be treated first, or sclerotherapy of the surface veins will be unsuccessful.
Your doctor will ask you about any other problems you may have with your legs, such as pain, aching, itching or tenderness. You will also be asked about your medical history, medications you take, or conditions that would preclude you from having treatment. Individuals with hepatitis, AIDS or other blood-borne diseases may not be candidates for sclerotherapy. Patients with circulatory problems, heart conditions, or diabetes may also be advised against treatment.
It’s important to be open in discussing your history and treatment goals with your doctor. Don’t hesitate to ask any questions or express any concerns you may have. Your doctor should explain the procedure in detail, along with its risks and benefits, the recovery period and the costs. (Medical insurance usually doesn’t cover cosmetic procedures.)
Preparing for the Procedure
You will receive specific instructions from your physician on how to prepare for your treatment. Carefully following these instructions will help the procedure go more smoothly.
You’ll be instructed not to apply any type of moisturizer, sunblock or oil to your legs on the day of your procedure. You may want to bring shorts to wear during the injections, as well as your physician-prescribed support hose, and slacks to wear home.
When scheduling your procedure, keep in mind that your legs may be bruised or slightly discolored for some weeks afterward. You probably won’t be comfortable wearing shorts, a swimsuit or a mini skirt until after your legs have cleared up a bit.
Where Your Treatment Will Be Performed
Sclerotherapy of spider veins is a relatively simple procedure that requires no anesthesia, so it will be performed in an outpatient setting, most likely your doctor’s office.
A typical sclerotherapy session is relatively quick, lasting only about 15 to 45 minutes. After changing into shorts, your legs may be photographed for your medical records. You will be asked to lie down on the examination table, and the skin over your spider veins will be cleaned with an antiseptic solution. Using one hand to stretch the skin taut, your doctor or nurse will begin injecting the sclerosing agent into the affected veins. Bright, indirect light and magnification help ensure that the process is completed with maximum precision.
Approximately one injection is administered for every inch of spider vein – anywhere from five to 40 injections per treatment session. A cotton ball and compression tape is applied to each area of the leg as it is finished.
During the procedure, you may listen to music, read, or just talk to your practitioner. You will be asked to shift positions a few times during the process. As the procedure continues, you will feel small needle sticks and possibly a mild burning sensation. However, the needle used is so thin and the sclerosing solution is so mild that pain is usually minimal.
After Your Treatment
In addition to the compression tape applied during the procedure, tight-fitting support hose may be prescribed to guard against blood clots and to promote healing. The tape and cotton balls can be removed after 48 hours. However, you may be instructed to wear the support hose for 72 hours or more.
It’s not uncommon to experience some cramping in the legs for the first day or two after the injections. This temporary problem usually doesn’t require medication.
You should be aware that your treated veins will look worse before they begin to look better. When the compression dressings are removed, you will notice bruising and reddish areas at the injection sites. The bruises will diminish within one month. In many cases, there may be some residual brownish pigmentation which may take up to a year to completely fade.
Getting Back to Normal
Although you probably won’t want to wear any leg-baring fashions for about two weeks, your activity will not be significantly limited in any other way from sclerotherapy treatment.
You will be encouraged to walk to prevent clots from forming in the deep veins of the legs. However, during the period of time to complete your treatment program, prolonged sitting and standing should be avoided, as should squatting, heavy weight lifting and “pounding” type exercises, including jogging.
A one-month healing interval must pass before you may have your second series of injections in the same site. After each treatment, you will notice further improvement of your legs’ appearance.
Your New Look
Most patients are pleased with the difference sclerotherapy makes. The skin of your legs will appear younger, clearer and more healthy-looking. If you’ve been wearing long skirts and slacks to hide your spider veins, you’ll now be able to broaden your fashion horizons. Often, patients are surprised at the dramatic difference in appearance between a treated leg and an untreated one.
Although sclerotherapy will obliterate the noticeable veins for good, it’s important to remember that treatment will not prevent new spider veins from emerging in the future. As time passes, you may find that you need “touch-ups” or full treatments for new veins that surface. But even if you choose not to have further sclerotherapy, your legs will look better than if you had never had treatment at all.
We Offer the Following Fillers
If you’d like to restore youthful fullness to your face, enjoy plump lips, enhance shallow contours or soften those facial creases and wrinkles, dermal fillers may be the answer. Dermal fillers have been called “liquid facelifts” because they offer many of the benefits of a surgical facelift without the downtime (*).
Although they can’t help with excess sagging skin, these soft tissue fillers can add more volume and provide immediate results at a lower cost than surgery. These treatment aren’t permanent, however, and they must be repeated and maintained.
Some dermal fillers are used in conjunction with other skin rejuvenation treatments such as injections of botulinum toxin. Your plastic surgeon will assess your needs and recommend one or a combination of treatments to achieve your desired results.
Are Injectable Fillers Right for You?
Dermal fillers are wonderful to rejuvenate your appearance, but they can’t stop the aging process. If you want a more long lasting solution, talk to your doctor about a facelift, brow lift or eye lift.
Some people opt to have a liquid facelift, delaying the time when a surgical facelift is more appropriate. It’s a great way to see some impressive changes and improvements in your appearance, such as the reduction of forehead wrinkles, until you’re ready for an effective surgical option (*).
Just remember, you’ll need to have repeat treatments with dermal fillers as a wrinkle treatment to maintain that fresh, full new look.
Injectable fillers can help improve the skin’s texture by filling in the laugh lines and facial creases that often occur with aging.(*)
Years of squinting, smiling and other facial muscle movements can lead to lines and wrinkles around the mouth and nose.(*)
After treatment, the skin around the mouth area appears smoother and tauter.(*)
The lips can become thinner or flatter over time.(*)
Soft tissue augmentation of the lips can enhance lip fullness and raise or define the cupid’s bow or vermillion border.(*)
How Wrinkle Fillers Work
Human fat, also known as autologous fat, is harvested from your own body. Using your own fat requires a more extensive procedure than other injectable fillers because you first must undergo liposuction to extract the fat prior to injection. You eliminate the risk of allergic reaction or rejection by the body by using your own fat. You should know that not all of the live fat cells survive when transplanted into a new site. You can expect a fairly high rate of re-absorption. Because of this, your doctor will likely overfill the area being treated. At first you might look abnormal, but it will soon settle and you’ll enjoy a new look. When your doctor extracts this fat via liposuction, it’s possible that there will be more than is needed for one application. Most natural fat can be stored for touch-ups.
Collagen is a natural substance known as a protein, and the main component in cartilage, teeth and bones. It is derived either from human skin or cows (known as bovine collagen). Brand names include: CosmoDerm, Cosmoplast, Zyderm, Zyplast.
Human cadaveric dermis is skin that’s cultivated from a cadaver, then injected into your face. This substance results in particularly impressive filling of facial hollows. Brand names include: Cymetra, Dermalogen, Fascian.
Hyaluronic acid is also a natural substance found in your body. High concentrations are found in soft connective tissue and in the fluid surrounding your eyes. It’s also in some cartilage and joint fluids, as well as skin tissue. If the name sounds familiar, it’s because the same substance is often injected into the aching joints of people with arthritis to ease pain by providing extra cushioning. Hyaluronic acid is not derived from animal sources. Brand names include: Captique, Esthélis, Elevess, Hylaform, Juvéderm, Perlane, Prevelle, Puragen and Restylane.
Calcium hydroxylapatite, the heaviest of facial fillers, is found naturally in human bones. This mineral-like compound is reserved to fill the deepest creases such as nasolabial folds, marionette lines and frown lines. It’s also used to enhance fullness of the cheeks and other facial contours. Calcium-based microspheres are suspended in a water-based gel. Brand names include: Radiesse, Radiance.
Polylactic acid is a synthetic material. When it is injected, it stimulates the body’s own production of collagen. This substance is known to work particularly well in the lower half of your face to fill the lines caused by laughing, to augment thin lips and fill out deep nasolabial folds. This substance is unlike other dermal fillers because it doesn’t produce immediate results. Instead, it stimulates collagen production, so results appear gradually over a period of a few months. Brand names include: Sculptra, New-Fill.
When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a facelift.
What happens during dermal filler injections?
First, your surgeon will listen to your desired results and then evaluate your facial appearance and skin tone, examining the areas of your face to be augmented with a cosmetic dermal filler.
Map a strategy.
Next, the surgeon will mark strategic points on your face as guides to the appropriate injection sites for the filler.
Clean the area.
Your injection sites will be cleansed with an antibacterial agent. Then a topical anesthetic will be used to numb the area, particularly if you are sensitive to injections. In some cases, the dermal filler includes an anesthetic in the mixture.
The actual injections will take just a few minutes total, and just seconds per site.
Clean up and ice.
The marks will be washed away and you will be offered an ice pack to reduce any minor and temporary discomfort. At this point you may apply makeup, but be careful not to apply pressure to the treated areas. Doing so may result in movement of the dermal filler.
A special note about scars and deep lines: these areas will often require multiple injections to achieve your desired results. If a deeper injection is required, you’ll be offered a local anesthetic to remain comfortable. Common sites for deeper tissue fillers are the nasolabial folds and marionette lines, or to enhance fullness in the cheeks.
Risks Related to Injectables
When injectables are administered by a qualified plastic surgeon, complications are infrequent and usually minor in nature. Still, individuals vary greatly in their anatomy, their physical reactions and their healing abilities. The outcome of treatment with injectables is never completely predictable.
Hyaluronic Acid: side effects are typically mild or moderate in nature and last for less than 7 days. Adverse events include redness, pain, firmness, swelling, lumps/bumps, bruising, itching, and discoloration.
Collagen: Allergic reaction is the primary risk of collagen. To help determine if you are allergic to the substance, your surgeon will perform an allergy skin test about a month before the procedure. After the test is performed, the test site should be watched carefully for three or four weeks, or as long as your surgeon advises. Any sign of redness, itching, swelling or other occurrences at the test site should be reported to your surgeon.
Risks not necessarily related to allergies include infection, abscesses, open sores, skin peeling, scarring and lumpiness, which may persist over the treated area. Reports of these problems are very rare.
Fat: Allergic reaction is not a factor for fat because it’s harvested from a patient’s own body. However, there is still a small risk of infection and other infrequent complications.
Planning for Treatment
Facial rejuvenation is very individualized. That’s why it’s important to discuss your hopes and expectations with a board-certified plastic surgeon who has experience with many different types of surgical and non-surgical facial procedures.
In your initial consultation, your plastic surgeon will evaluate your face – the skin, the muscles and the underlying bone – and discuss your goals for the surgery. Your doctor will help you select a treatment option based on your goals and concerns, your anatomy and your lifestyle.
Your surgeon will ask you about your medical history, drug allergies, and check for conditions that could cause problems, such as active skin infections or non-healed sores from injuries. Collagen injections are generally off limits for pregnant women, individuals who are allergic to beef or bovine products, patients who suffer from autoimmune diseases, and those who are allergic to lidocaine (the anesthetic agent contained in the syringe with the collagen material). For more specific information about the contraindications and risks of collagen use, ask your doctor for the manufacturer’s brochure for patients.
Insurance usually doesn’t cover cosmetic procedures. However, if your injectable treatment is being performed to treat a scar or indentation from an accident or injury, you may be reimbursed for a portion of the cost. Check with your insurance carrier to be sure.
Injectables are usually administered in a surgeon’s office-based facility. If, however, you are being hospitalized for a facelift, neck lift, brow lift, or any other procedure, your injections may be administered in the hospital, as well.
Types of Anesthesia
Collagen: Because the anesthetic agent lidocaine is mixed in with collagen, an additional anesthetic is usually not used. However, if you are especially sensitive to pain, your doctor may use a topical cream anesthetic or a Freon spray to numb the injected area, or you may elect to have an injected local anesthetic or sedative drugs.
Fat: Both the donor and recipient sites are numbed with local anesthesia. Sedation can be used as well. If you elect to use sedation, be sure to arrange for a ride home after your treatment.
Your New Look
If you’re like most patients, you’ll be very satisfied with the results of your injectable treatments. You may be surprised at the pleasing results that can be gained from this procedure.
Injectable Wrinkle Treatment in St. Cloud
We all get facial lines and wrinkles, but sometimes they can leave us feeling like we’re looking at a stranger every time we catch our reflection in the mirror. Many of us just want to look as young as we still feel. Our certified surgeons can use Botox® to help restore a youthful and vibrant appearance for men and women wanting to age gracefully.
Botox at First Glance
(Botulinum Toxin Type A)
Treatment Time: 30 Minutes
Recovery Time: None
Is Botox for me?
Botox is a great non-surgical treatment option for men and women who want to rejuvenate their facial appearance but are not yet ready for facial plastic surgery. This injectable botulinum toxin works to improve the appearance of fine lines and wrinkles such as crow’s feet, frown lines, and the 11’s that form between the eyes.
We will discuss your Botox options in detail during your consultation. Patients who wish to treat signs of aging in other areas of the face or a loss of facial volume may consider combining their Botox treatment with one or more dermal fillers.
What are the benefits of Botox?
The major appeal of Botox is that it can provide men and women with a younger appearance without requiring surgery. Botox not only improves existing signs of aging, but also works to prevent new ones from forming. When performed by an experienced professional, the results of Botox appear completely natural–as if you have simply gone back in time a few years. You still look like you, just younger.
Botox also provides several medical benefits as well. It can be used to treat several non-age-related conditions, such as excessive sweating, muscle spasms, and chronic migraine.
How is a Botox treatment performed?
Your Botox treatment will be discussed in detail during your consultation. Together, you and your Midsota plastic surgeon will determine which areas of the face will be receiving treatment in order to achieve your desired outcome.
When you come in for your treatment, we will carefully mark the injection locations. No local or general anesthesia is necessary for a Botox treatment. Your surgeon will then carefully inject the appropriate units of Botox into the marked locations in order to relax the underlying facial muscles.
How long does a Botox treatment take?
Your Botox treatment should last no longer than 30-45 minutes.
How long is Botox recovery?
There is no recovery period necessary following a Botox treatment. You may experience some minor bruising or soreness, but you should have no problem getting back to your normal routine immediately.
When will I notice the results of my Botox treatment?
Results may vary by patient, but it usually takes a week or two before you begin to notice any significant changes as it will take some time for the botulinum toxin to take effect. As the Botox gradually relaxes the underlying muscles, you will notice fine lines and wrinkles begin to smooth out.
How long will my Botox results last?
It varies from patient to patient, but typically the results of your Botox treatment should last for about 3-6 months. As you begin to notice lines and wrinkles coming back, you may return for touch-up treatments to maintain your youthful appearance.
As your face continues to age and the signs of aging worsen, you may eventually notice that Botox can no longer provide you with the results you desire. At this point, you may consider more invasive options of facial plastic surgery.